14D2015216 CLIA NUMBER - WALGREENS # 05257

Laboratory Demographics

  • CLIA Code: 14D2015216
  • Facility Name: WALGREENS # 05257
  • Facility Address: 1770 N MILWAUKEE AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 327-9706
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANNAH SEO
  • NPI Number: 1457366643
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2015216
LAB Type Pharmacy
Facility Name WALGREENS # 05257
Street 1770 N MILWAUKEE AVE
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 327-9706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director HANNAH SEO

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This page was last updated on: 6/4/2025